Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
Select Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
299 W FOOTHILL BLVD, STE 200, UPLAND, CA 91786-3806
(909) 985-2337
(909) 985-4694
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1746440007
DME
CA
Enumeration date
02/17/2007
Last updated
11/12/2018
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